NPI | 1912163791 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: AZ 50986) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A131824) |
Enumeration Date | 2008-07-31 |
Last Update Date | 2023-05-10 |